| NPI | 1609439355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000722) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT BA.000730) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |