| NPI | 1972816098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-10-7809) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA308) |
| Enumeration Date | 2010-07-18 |
| Last Update Date | 2017-04-14 |