| NPI | 1770163057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IA 1-20-43948) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IA 105792) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-07-03 |