| NPI | 1730710476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-85177) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 0-19-10248) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2025-10-22 |