| NPI | 1225892276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-22-62430) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1538) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-08-13 |