| NPI | 1215339254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-13-13382) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-13-13382) |
| 103K00000X Behavior Analyst (Licence: PA 1-13-13382) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |