| NPI | 1427564426 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-21-55508)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 12155508)  | 
| 106S00000X Behavior Technician (Licence: NY RBT-17-44878)  | |
| Enumeration Date | 2017-12-28 | 
| Last Update Date | 2022-01-23 |