| NPI | 1790178002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000706-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000583) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-31 |