| NPI | 1376113803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-25-79006) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 0-21-12188) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2025-02-05 |