| NPI | 1538498167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-10-7598) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-07-2393) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2020-09-28 |