| NPI | 1255610689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 251S00000X) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV 1194003269) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-18 |