| NPI | 1114404027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY P11777) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-18-30568) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |