| NPI | 1932663143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 620785135587) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD 620785135587) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |