| NPI | 1821478678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-22775) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2022-04-04 |