| NPI | 1700523263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-24-72509) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH005957) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2024-08-06 |