| NPI | 1114293297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BA-30) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-7318) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |