| NPI | 1063150134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-27773) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001853-01) |
| 103K00000X Behavior Analyst (Licence: NC 2075) | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2026-04-21 |