| NPI | 1407563596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133004665) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA2164) |
| 103K00000X Behavior Analyst (Licence: NC 690) | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2025-12-31 |