| NPI | 1831426667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: TN 6597269) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2022-03-25 |