| NPI | 1568173722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1-24-77521) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-22-246548) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2025-11-02 |