| NPI | 1124436902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH002310) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133004412) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2025-08-15 |