| NPI | 1972172336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 002110) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1200) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |