| NPI | 1225551450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH003206) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-14-16774) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |