| NPI | 1811125719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-10-6773) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BA-65) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-04-07 |