| NPI | 1336509769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1084005) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 437) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |