| NPI | 1740973544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-67922) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CT RBT-23-274397) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-08-30 |