| NPI | 1720633902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-34472) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA631) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |