| NPI | 1518619618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-56406) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-21-56406) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-10-24 |