| NPI | 1053119230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-25-84636) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-10-01 |