| NPI | 1386083897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-31913) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 648437121) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2019-01-23 |