| NPI | 1962854349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 450) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI LBA 00075) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2018-03-17 |