| NPI | 1952652596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 632283121) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 632283121) |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2013-02-13 |