| NPI | 1306770458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 2363) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 10002526) |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-09-10 |