| NPI | 1366689721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 01-14-15071) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101Y00000X Counselor (Licence: NY 797-686) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2020-09-10 |