| NPI | 1205625662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-26-88938) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133005156) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2026-05-08 |