| NPI | 1598039422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1095639) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-09-5639) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2024-12-17 |