| NPI | 1912592270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-23-68583) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NY RBT-21-157880) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2024-04-15 |