| NPI | 1952607665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000273) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-7729) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2016-01-13 |