| NPI | 1245938174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002973) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2021018947) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2025-06-17 |