| NPI | 1174814164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 720780) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst (Licence: NY 720780) | |
| 222Q00000X Developmental Therapist (Licence: NY 720780) | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2018-09-20 |