| NPI | 1417574377 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-45375) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1480) | 
| 103K00000X Behavior Analyst (Licence: CO 1-20-45375) | |
| Enumeration Date | 2020-06-26 | 
| Last Update Date | 2025-05-07 |