| NPI | 1295278570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH002490) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA BH002490) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |