| NPI | 1740744929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 655) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001434) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2026-06-29 |