| NPI | 1528568540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-46398) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 12046398) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2023-05-19 |