| NPI | 1093226318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-17-25268) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BA-0280) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |