| NPI | 1255835773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002995) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2025042811) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-11-04 |