| NPI | 1528792611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-22-62330) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NY RBT-22-224593) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-11-10 |