| NPI | 1972959955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1883) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-05-01 |