| NPI | 1710513304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 12041895) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 12041895) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2021-02-04 |