| NPI | 1700330313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH003192) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-16-23309) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2023-01-27 |