| NPI | 1699298000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-17-24987) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA329) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2025-04-03 |