| NPI | 1518368109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001974) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1405631) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2021-05-03 |