| NPI | 1780569954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-25-81959) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 004430) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-12-08 |