| NPI | 1114289691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1752785) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-07-3692) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |