| NPI | 1770723454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 557366041) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 557366041) |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 557366041) | |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |