| NPI | 1306119482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 663499061) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 663499061) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-06-11 |