| NPI | 1699524157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 00712) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2024027222) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2026-04-15 |