| NPI | 1922496843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-14-17664) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN BACB26127) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2022-07-21 |