| NPI | 1932466414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-12-10307) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-10307) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2022-03-14 |