NPI | 1568894822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY 757131131) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 00232501) |
174400000X Specialist (Licence: NY 757130131) | |
Enumeration Date | 2013-08-08 |
Last Update Date | 2025-01-14 |