| NPI | 1609491570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-23-64840) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 0-20-11054) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2025-04-30 |