| NPI | 1043866395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-35527) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD A01018) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2025-06-23 |