| NPI | 1093060394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-11-8409) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 1149192) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2016-09-28 |