| NPI | 1962240267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2025028750) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-196791) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2025-07-14 |