| NPI | 1518632652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 00767) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2024040395) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2025-12-16 |