| NPI | 1629559620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 049) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 680) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-08-19 |