| NPI | 1982970653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-11-9595) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2351) |
| 103K00000X Behavior Analyst (Licence: CT BA.001153) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-06-29 |