| NPI | 1679041289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 775) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-20-41308) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2026-07-08 |