| NPI | 1790254753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-32079) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD lba504) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2025-07-07 |