| NPI | 1811553878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-18-34237) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 11834237) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2024-06-12 |