| NPI | 1942669353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000697) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 1-13-13550) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |