| NPI | 1114499498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA766) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: DE 1-20-40627) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2025-10-30 |