| NPI | 1861765174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00054) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI 1-25-85643) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2026-01-08 |