| NPI | 1902796006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-08-4037) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000164) |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-08-13 |