| NPI | 1912345232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-03-0807) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL 0-03-0807) |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2014-01-20 |