| NPI | 1578864021 |
|---|---|
| Former Name | JUSTINE WALDRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 84) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2330) |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2024-08-22 |