| NPI | 1790197176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-15457) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1139409) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |