| NPI | 1164735411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1095095) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 666103) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2019-12-19 |