| NPI | 1891072559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-08-4027) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 101061841) |
| 103K00000X Behavior Analyst (Licence: CA 1-08-4027) | |
| 103K00000X Behavior Analyst (Licence: MI 1-08-4027) | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2014-10-14 |