| NPI | 1629483714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1607) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003139) |
| 103K00000X Behavior Analyst (Licence: MI 7401000860) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-09-20 |