| NPI | 1194382580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133004248) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-24-71263) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2026-04-09 |