| NPI | 1902637390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 12471620) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 12471620) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |