| NPI | 1740053008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 0133003262) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003262) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2025-10-20 |