| NPI | 1306237573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-31921) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2019-01-28 |