| NPI | 1750940342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 7268) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: TX 5850) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2024-07-29 |