| NPI | 1104523786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-25-83113) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106E00000X Assistant Behavior Analyst (Licence: SC 0-24-15538) | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2026-08-03 |