| NPI | 1760063408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53582) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-21-11827) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-09-24 |