| NPI | 1962759001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001728-01) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1315696) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2025-01-30 |