| NPI | 1356883870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 942676151) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2025-04-23 |