| NPI | 1760003081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68119) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA L-1152) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2026-08-27 |