| NPI | 1417422080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001243) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-15-19860) |
| 174400000X Specialist (Licence: NY 1215004) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |