| NPI | 1932510245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000422) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA067) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2015-06-25 |