| NPI | 1548620248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-15-18452) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 11518452) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2020-08-25 |