| NPI | 1225501901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-36169) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA2021) |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2025-01-18 |