| NPI | 1649812934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-57656) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1-22-57656) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2025-08-11 |