| NPI | 1558716183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA311) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-18-31894) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2025-10-02 |