| NPI | 1700138641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001554) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY SE593325121) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2018-12-13 |