| NPI | 1578077244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-17-27242) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH003650) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-03-17 |