| NPI | 1801302039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-57625) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI BACB388215) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2026-06-16 |