| NPI | 1508410762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-18-29715) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1181318171) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |