NPI | 1932458627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 403960031) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-09-5508) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2012-09-10 |