| NPI | 1811587371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA520) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001173) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-04-01 |