| NPI | 1598364614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 296643) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-24-71749) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2025-01-03 |