| NPI | 1588325211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1351) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1-21-55493) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |