| NPI | 1801181417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-03-1049) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1031049) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |