| NPI | 1134931165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 12366769) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: KS 6683133743) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-30 |