| NPI | 1033657911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NY 10) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NY 593566356) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |