| NPI | 1750884185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-01-0592) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-01-0592) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |