| NPI | 1669960860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-26077) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-17-26077) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2022-02-04 |