| NPI | 1598322323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001905) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133002782) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2026-05-26 |