| NPI | 1366291569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1903) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 003525) |
| Enumeration Date | 2024-05-18 |
| Last Update Date | 2024-05-29 |