| NPI | 1639888357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133003252) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-09-28 |