| NPI | 1003321787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-19-38547) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 3853670) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2020-01-13 |