| NPI | 1710638317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 002883-01) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 002883) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2024-05-15 |