| NPI | 1336884188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 184) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1649) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-04 |