| NPI | 1356779193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 30) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: BACB#1-15-18823) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2016-03-17 |