| NPI | 1902372923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-3875) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MT 0-19-10016) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2025-03-31 |