| NPI | 1689086068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-15122) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1156201) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |