| NPI | 1184101396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1-23-69714) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 00834) |
| 103K00000X Behavior Analyst (Licence: MO 2025005775) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2025-12-16 |