| NPI | 1962608877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1638) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000798) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2025-01-30 |