| NPI | 1689198160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1103) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-15-18541) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2025-04-22 |