| NPI | 1790556132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-24-77711) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132311) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2025-06-05 |