| NPI | 1902318801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133003692) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0134000164) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2024-06-20 |