| NPI | 1760035471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-19-10300) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2022-02-23 |