| NPI | 1477239655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: Cert1-23-68649) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2025-09-10 |