| NPI | 1821741497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53623) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IA 109844) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2025-05-19 |