| NPI | 1922838176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 725022131) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 725022131) |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |