| NPI | 1821680687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-19-36931) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH004599) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2025-07-07 |