| NPI | 1396143244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3621) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 2190) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2025-09-15 |