| NPI | 1609486166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-25-85392) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133004744) |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2025-11-11 |