| NPI | 1497365258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT 1-22-62683) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-4516) |
| 106S00000X Behavior Technician (Licence: CO 19-104832) | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2025-03-09 |