| NPI | 1053709469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 9830988-2506) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2016-10-14 |