| NPI | 1770976748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 46-4911287) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: GA 46-4911287) |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2015-03-14 |