| NPI | 1922464189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-19751) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1001013) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |