| NPI | 1083056238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-18546) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1839) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2025-12-05 |