| NPI | 1851748677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 11833814) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-1833814) |
| Enumeration Date | 2016-05-22 |
| Last Update Date | 2021-06-16 |