| NPI | 1811259104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 897224141) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-15-19715) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2017-04-22 |