| NPI | 1659894244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001446) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-16-22923) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-26 |