| NPI | 1831784149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1162) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-48172) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-06-11 |