| NPI | 1417465329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH003306) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-17-24975) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |