| NPI | 1760223093 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0-23-14239) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA BACB695417) | 
| Enumeration Date | 2024-06-03 | 
| Last Update Date | 2024-06-03 |