| NPI | 1881063071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-19310) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 102) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2025-07-09 |