| NPI | 1457801656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001477) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 1039470161) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2018-09-25 |