| NPI | 1528347440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 0-14-6243) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 062370120) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2015-05-06 |