| NPI | 1225791478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1223) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133002010) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |