| NPI | 1609398924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-17-26351) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001555) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2020-07-03 |