| NPI | 1689195612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-22602) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1732) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |