| NPI | 1972959955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1883) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-24-72174) |
| 103K00000X Behavior Analyst (Licence: RI LBA00522) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2025-12-04 |