| NPI | 1558917773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-19-36967) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 002715-01) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2023-09-21 |