| NPI | 1053564328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 928930991) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NY 326101031) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |