| NPI | 1619367695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT CT0267) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA3680) |
| 103K00000X Behavior Analyst (Licence: CT 11416556) | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2026-05-02 |