| NPI | 1265072565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-26-2844442) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 106E00000X Assistant Behavior Analyst (Licence: RBT-22-204310) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2026-09-10 |