| NPI | 1386051944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-14-16321) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH000577) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |