| NPI | 1891065686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-05-2211) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1052211) |
| 103K00000X Behavior Analyst | |
| 103K00000X Behavior Analyst (Licence: TX 1-05-2211) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2022-07-25 |