| NPI | 1104384312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-61896) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA2312) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2025-09-10 |