| NPI | 1083119788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-29693) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-29693) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-05-04 |