| NPI | 1679029334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA199) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-15-21012) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-09-20 |