| NPI | 1851696793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 0-13-5428) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2015-10-29 |