| NPI | 1548892102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001014) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI LPA00147) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2024-01-27 |