| NPI | 1487929386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2017-01-10 |