| NPI | 1053602656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA140) |
| 103K00000X Behavior Analyst (Licence: VA 0133000192) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2017-05-11 |