| NPI | 1710336151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-31818) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 18-31818) |
| 103K00000X Behavior Analyst (Licence: FL PMH 1300) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-08-03 |