| NPI | 1073865002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000109) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 174400000X Specialist (Licence: NY 668063121) | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2022-07-21 |