| NPI | 1598109340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 0094) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001011) |
| 103K00000X Behavior Analyst (Licence: CT 11312883) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2019-04-16 |