| NPI | 1255629051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-11-8181) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133004394) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2025-09-12 |