| NPI | 1477977858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-12-10102) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000152) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |