| NPI | 1558945725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-47111) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 003394) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2024-03-13 |