| NPI | 1558842765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1151) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2021-08-16 |