| NPI | 1639872492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-21-54325) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC BACB556737) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-04-03 |