| NPI | 1801389358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-75951) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 02112632) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2026-01-06 |