| NPI | 1760897730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0-14-10205) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2021-11-08 |