| NPI | 1962794057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-15389) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-06-2125) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2014-03-28 |