| NPI | 1104056647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-11-8482) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL T460525846680) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2020-09-09 |