| NPI | 1790971950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-08-4644) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 753820) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2012-10-02 |