| NPI | 1558198374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-25-84164) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-25-15786) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-09-16 |