| NPI | 1689133282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 96) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000683-1) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2023-11-27 |