| NPI | 1710417167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-54243) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI LBA00480) |
| 103K00000X Behavior Analyst (Licence: MA LABA3866) | |
| 103K00000X Behavior Analyst (Licence: CT 1966) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2025-08-26 |