| NPI | 1134591811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000667) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 1-15-18733) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |