| NPI | 1417423484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-21-57377) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 1-21-57377) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2025-07-03 |