| NPI | 1639541964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000991) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000-991-1) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2022-03-30 |