| NPI | 1649783408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH003414) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001602) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-05-16 |