| NPI | 1164931887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 12153993) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 174400000X Specialist | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-03-20 |