| NPI | 1114296951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-22-62091) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 007778-1) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2023-06-14 |