| NPI | 1295506517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-66169) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 003064) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |