| NPI | 1013512789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-46113) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA LBA002490) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2026-08-18 |