| NPI | 1699393751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 2025-033) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 220103) |
| 106S00000X Behavior Technician (Licence: MS RBT-20-125638) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2025-06-02 |