| NPI | 1801364096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-42960) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133005365) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2026-07-02 |