| NPI | 1972753739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000096) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-05-2262) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2022-09-08 |