| NPI | 1972471308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-77532) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS LBA00968) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2026-01-08 |