| NPI | 1497026942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-14-9454) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 1125719) |
| Enumeration Date | 2012-01-14 |
| Last Update Date | 2021-04-30 |