| NPI | 1457625048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-12-10145) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-1005) |
| 103K00000X Behavior Analyst (Licence: WA 1-12-1005) | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2014-03-20 |