| NPI | 1073217337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 004582-01) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 1695601231) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2025-11-19 |