| NPI | 1568725752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-034) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-12-10058) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2015-03-09 |