| NPI | 1871972513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-9518) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH000193) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |