| NPI | 1639717788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00526) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA10001001) |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2026-01-09 |