| NPI | 1912770991 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 12152856)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 12152856)  | 
| 103K00000X Behavior Analyst (Licence: NE 12152856)  | |
| 103K00000X Behavior Analyst (Licence: NY 12152856)  | |
| Enumeration Date | 2023-11-01 | 
| Last Update Date | 2025-05-06 |