| NPI | 1720623150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL RBT-19-103067) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-24-70959) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-02-13 |