| NPI | 1134590615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-32460) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002882) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2019-02-21 |