| NPI | 1184987380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-15-21226) |
| Additional Taxonomies | 174400000X Specialist |
| 103K00000X Behavior Analyst (Licence: NY 001208) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-02-08 |