| NPI | 1336701614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-65316) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 2609) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2025-03-03 |