| NPI | 1922629849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3082) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 354123) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |