| NPI | 1346811189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 1157-140) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MN LBA0885) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2026-03-24 |