| NPI | 1598265423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-16-21819) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 303) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2022-11-05 |