| NPI | 1760713648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH OH1-30-7694) |
| Enumeration Date | 2010-01-17 |
| Last Update Date | 2010-01-17 |