| NPI | 1619688595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NH 1-22-63098) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-22-63098) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-14 |