| NPI | 1982098620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 002597) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 808530) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2024-06-07 |