| NPI | 1235572330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-08-4841) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 626714051) |
| 174400000X Specialist (Licence: NY 465149101) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |