| NPI | 1154196962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 00944) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2025047625) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2026-03-26 |