| NPI | 1568000701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-18-29496) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV LBA0277) |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2020-11-11 |