| NPI | 1194053850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-03-1182) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000063) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2014-08-20 |