| NPI | 1811323363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-14-15718) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-10-3911) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2014-04-07 |