| NPI | 1932450137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1208095) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000601-1) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2015-02-01 |