| NPI | 1801242326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001412) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2016013987) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2025-09-09 |