| NPI | 1083912679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 01-13-13570) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 272) |
| 251S00000X | |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2021-10-10 |