| NPI | 1588067862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 71 000389) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2218870) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2015-10-14 |