| NPI | 1225438914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 11833361) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 5573) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2025-04-03 |