| NPI | 1548506116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-12-10416) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS1061) |
| Enumeration Date | 2012-12-29 |
| Last Update Date | 2012-12-29 |