| NPI | 1487311643 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-65241)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA RBT-21-188282)  | 
| Enumeration Date | 2021-11-23 | 
| Last Update Date | 2024-08-19 |