| NPI | 1306640578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 00911) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2025011172) |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-08-27 |