| NPI | 1104245513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-14-15120) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: NC 3245) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2025-08-19 |