| NPI | 1831661974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-28683) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2431) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |