| NPI | 1215343074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-14-10396) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000428) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-03-31 |