| NPI | 1609583376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-82046) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-25-82046) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-07-11 |