| NPI | 1851923619 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005302)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-20-44483)  | 
| Enumeration Date | 2020-02-10 | 
| Last Update Date | 2025-06-18 |