| NPI | 1669254033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-25-78747) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 14808) |
| 103K00000X Behavior Analyst (Licence: NC 1629) | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-01-03 |