| NPI | 1215482690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BACB 1-14-15399) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: FL SS 1148) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |