| NPI | 1235475955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001668) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-12-5174) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2021-01-23 |