| NPI | 1487915534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 7911) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1722785) |
| 171M00000X Case Manager/Care Coordinator (Licence: NY 7911) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-07 |