| NPI | 1760126908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-18-33234) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 11833234) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |