| NPI | 1205190246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-10-7349) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NH 1-10-7349) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2021-01-12 |