| NPI | 1962948828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-65899) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-03-0719) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2023-11-08 |