| NPI | 1497185755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12150958) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133005076) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2026-03-18 |