| NPI | 1265258503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1575634221) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 1575634221) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |