| NPI | 1326651795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-63930) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH006224) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2025-07-30 |