| NPI | 1033644893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT BA.000328) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-17-25522) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2019-06-24 |