| NPI | 1346615424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 11314411) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT CT250) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2025-09-02 |