| NPI | 1104324979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 002349) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-22-57551) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2022-07-22 |