| NPI | 1710341326 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH002759)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-22-61445)  | 
| 174400000X Specialist (Licence: PA BH002759)  | |
| Enumeration Date | 2016-04-09 | 
| Last Update Date | 2022-09-16 |