| NPI | 1043870801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 604) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 201) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-08-25 |