| NPI | 1902181787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-12-12430) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NE 0-08-2615) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2015-01-16 |