| NPI | 1891216222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001145) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 11518328) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2021-09-16 |