| NPI | 1851052245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IA 105790) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SD 045-ABA) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |