| NPI | 1588159321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2025015614) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 00856) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-12-06 |