| NPI | 1538675160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH004037) |
| Additional Taxonomies | 174400000X Specialist |
| 103K00000X Behavior Analyst (Licence: NY 11728706) | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-12-26 |