| NPI | 1588927206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-21347) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 727145) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2018-08-15 |