| NPI | 1154769586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-38814) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 742452131) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2024-09-29 |