| NPI | 1548794589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-24229) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001444) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2019-01-02 |