| NPI | 1609429620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-24-74021) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2026-01-26 |