| NPI | 1518309889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BACBCERT.#1-12-12328) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 150759021) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-09-24 |