| NPI | 1124319645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA 2341) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 810) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |