| NPI | 1689457673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-67074) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-23-67074) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-12-02 |