| NPI | 1548656010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA 0000000019) |
| Additional Taxonomies | 171W00000X Contractor (Licence: LA 0000000019) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2015-04-12 |