| NPI | 1801492947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-24-72933) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2025-12-08 |