| NPI | 1942072004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1918) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CT RBT-22-238676) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-07-09 |