| NPI | 1790192086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-10-7843) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 0074) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2023-01-18 |