| NPI | 1942600531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: DE 1-15-18002) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1105) |
| 103K00000X Behavior Analyst (Licence: NJ 1-15-18002) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2025-07-11 |