| NPI | 1972921625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1258076) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 674369121) |
| 103K00000X Behavior Analyst (Licence: NY 707688131) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |