| NPI | 1770104671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1398845201) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 174H00000X Health Educator (Licence: NY 1398845201) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2024-04-19 |