| NPI | 1639457146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY Certfied Special Ed) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2018-10-15 |