| NPI | 1124627096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3228) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI LBA00416) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2026-08-03 |