| NPI | 1891334751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR ABA-B-10227372) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 9999999999) |
| 103K00000X Behavior Analyst (Licence: AZ BEH-001638) | |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2026-09-30 |