| NPI | 1700140944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-14-16038) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1273529) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2025-09-23 |