| NPI | 1134506918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000111-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000111) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2018-06-12 |