| NPI | 1508281247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ME 1-08-4335) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-08-4335) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2019-07-12 |