| NPI | 1760800783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 2588671) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 833078141) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2016-01-06 |