| NPI | 1811447295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-23872) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-16-23872) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2018-03-17 |