| NPI | 1134718240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46670) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-20-46670) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2025-11-12 |