| NPI | 1508316357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 114) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-16-22922) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2025-05-22 |