| NPI | 1720892532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-24-78269) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 2042) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-12-12 |