| NPI | 1659619815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-15-17968) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 1-15-17968) |
| 103TS0200X Psychologist, School (Licence: AR 316) | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2022-07-21 |