| NPI | 1174880355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH001803) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 00294280) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2014-04-25 |