| NPI | 1811154479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1811154479) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0756381) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2024-08-28 |