| NPI | 1518205350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 692401121) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 692399121) |
| 103K00000X Behavior Analyst (Licence: NY 692401121) | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |