| NPI | 1063590313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-06-2849) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000131) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-01-06 |