| NPI | 1548885817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-20-41479) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5858) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-05-06 |