| NPI | 1811496813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 013300112) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-7651) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2019-06-25 |