| NPI | 1962924522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-36240) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: FL 1-19-36240) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2025-05-15 |