| NPI | 1407354426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-62474) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CT RBT-17-39704) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2024-09-20 |