| NPI | 1891975397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 0000000078) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TN BCBA #: 1-07-3269) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2019-06-04 |