| NPI | 1124520721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 3317) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-46007) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2026-06-08 |