NPI | 1982966180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 003984) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
174400000X Specialist (Licence: NY 2807508) | |
Enumeration Date | 2012-06-13 |
Last Update Date | 2024-12-27 |