| NPI | 1659643625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000140) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 1-09-5779) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2013-01-15 |