| NPI | 1427391317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-13-14790) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH000961) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2022-03-02 |