| NPI | 1609310648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 2201) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003490) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2026-07-16 |