| NPI | 1710496336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001804) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IA BA-01376) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2025-10-15 |