| NPI | 1750753505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 828) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 662) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2024-04-02 |