| NPI | 1811594864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-68310) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA LBA001481) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2026-06-24 |