| NPI | 1548734064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 1-21-49271) |
| 103K00000X Behavior Analyst (Licence: VA BCABA-18-6155-140249) | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2022-06-19 |