| NPI | 1881982379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-13-13898) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL MH11533) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2017-01-18 |