| NPI | 1700640612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ BACB235061) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY BACB235061) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |