| NPI | 1992254098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NM BCBA-1-16-23620) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-16-23620) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2024-01-09 |