NPI | 1851037956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 003672) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2022-05-11 |
Last Update Date | 2024-09-27 |