| NPI | 1790586295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-24-76717) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-24-76717) |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-25 |