| NPI | 1477982734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 20131597428) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2021-09-15 |