| NPI | 1649077074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA LBA002974) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 1776) |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2026-07-14 |