| NPI | 1497151492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH002729) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000155) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2018-06-25 |