| NPI | 1477045821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 14226801-2506) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 9114) |
| 103K00000X Behavior Analyst (Licence: DC 1-20-42348) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2025-11-12 |