| NPI | 1306608773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-26-2847606) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106E00000X Assistant Behavior Analyst (Licence: 18830) | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2026-09-08 |