| NPI | 1699901298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-00-0329) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014370-1) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2014-03-20 |