| NPI | 1033467840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 11623235) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0-12-4935) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2016-10-10 |