| NPI | 1417568601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-26-2840143) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN 20-125136) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2026-08-24 |