| NPI | 1629662648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 12147853) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 2377) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2026-10-12 |