| NPI | 1073152369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 00633) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2024007374) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2026-03-06 |