| NPI | 1588103501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 103K00000X12) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: VA 103K0000012) | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |