| NPI | 1417211863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 206796031) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 206795031) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2012-06-30 |