| NPI | 1194450437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-89655) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15571) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2026-05-04 |