| NPI | 1245010644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 90405) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 90405) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |