| NPI | 1669972725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN LBA0000000421) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 245216) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2021-03-15 |