| NPI | 1881125904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-10-7299) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000411) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |