| NPI | 1770108722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 002278-01) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-19-37968) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2022-09-26 |