| NPI | 1922521368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-39433) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-18-9096) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2020-01-02 |