| NPI | 1750684387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 11518890) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 074863) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2016-08-03 |