| NPI | 1659216554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401003314) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 2322) |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |