| NPI | 1295447605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-21-56586) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-21-56586) |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2026-06-29 |