| NPI | 1225433022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000992) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 890154141) |
| 174400000X Specialist (Licence: NY 890154141) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2019-08-14 |