| NPI | 1861161721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 25-85028) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA LBA002690) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2026-08-21 |