| NPI | 1184505612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 004541) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 2241) |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-10-15 |