| NPI | 1902478928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY PENDING) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY BCBA-1-21-49204) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |