| NPI | 1700458031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-22-61660) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NY RBT-16-25834) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2023-01-03 |