| NPI | 1942470992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000726) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80105) |
| 103K00000X Behavior Analyst (Licence: 1-14-10397) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2016-11-23 |