| NPI | 1821608076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000883-01) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-14-17212) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-04 |