| NPI | 1962855965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-16-24253) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 10618) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2017-01-06 |