| NPI | 1487369831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-55405) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA LBA001298) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2026-02-04 |