| NPI | 1720520430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1535) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 2114) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2025-08-20 |