| NPI | 1245984285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 12257444) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 002260) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |