| NPI | 1013388529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001029) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-15-19647) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2018-03-17 |