| NPI | 1902376106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-28161) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH001983) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |