| NPI | 1174387583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-25-79664) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: GA 0-25-15771) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2025-03-20 |