| NPI | 1942740519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 770353131) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NY 770353131) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 770353131) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |