| NPI | 1356891444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 2023-055) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-16-23689) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2026-05-14 |