| NPI | 1174869440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-12-12683) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK 1-12-12683) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2021-12-22 |