| NPI | 1073857181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-05-2605) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-05-2605) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-07-20 |