| NPI | 1639716061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-47772) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: GA 0167254) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2021-02-19 |