| NPI | 1104514298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-23-64798) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 2565) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2025-03-27 |