| NPI | 1679905632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-15072) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI BCaBA: 0-13-5507) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2021-03-19 |