| NPI | 1447603345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-19-38024) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 959699151) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2020-06-02 |