| NPI | 1912289448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-11-8937) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2011-09-10 |