| NPI | 1760943674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 178) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-52378) |
| 106S00000X Behavior Technician (Licence: NC 1-19-78920) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2026-05-12 |