| NPI | 1336945104 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005429) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1804) | 
| Enumeration Date | 2025-02-21 | 
| Last Update Date | 2025-02-21 |