| NPI | 1053892430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 103K00000X Behavior Analyst (Licence: NY 004424) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2025-09-18 |