| NPI | 1881355501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1722) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-21-51633) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-02-03 |