| NPI | 1942811393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AK 162599) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA3313) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-12-28 |