| NPI | 1205500618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 002138) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-21-50203) |
| 103TS0200X Psychologist, School (Licence: CA 210068940) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-11 |