| NPI | 1265736805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-03-0960) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 0-03-0960) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2018-03-17 |