| NPI | 1770941692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 2970-MH-B1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1437) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2023-11-01 |