| NPI | 1396042859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA106) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 1-08-4228) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2025-08-15 |