| NPI | 1962902684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-796) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 011624119) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2025-03-02 |