| NPI | 1659631711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 1-09-5257) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2012010604) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2024-09-30 |