| NPI | 1346907508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-26-88441) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA LBA002561) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2026-04-28 |