| NPI | 1336751296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2025033316) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-23-285207) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-09-24 |