| NPI | 1538575220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-13-12876) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 804) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2026-07-10 |