| NPI | 1962863712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-04-1870) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-24-76978) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2025-04-03 |