| NPI | 1558663849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-002) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 1-10-7522) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2016-07-18 |