| NPI | 1932805009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-63647) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-23-63647) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-10-30 |