| NPI | 1134526478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-16906) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA bh002559) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2015-12-23 |