| NPI | 1093090359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1118442) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 6301014952) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2016-01-07 |