| NPI | 1619647856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2021034203) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 00457) |
| Enumeration Date | 2021-09-19 |
| Last Update Date | 2026-05-07 |