| NPI | 1295323400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-20-46782) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1088) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2024-01-10 |