| NPI | 1215200225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-8318) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IA 095922) |
| 103K00000X Behavior Analyst (Licence: CT 1871) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-05-03 |