| NPI | 1982169140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 3853) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002993) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2026-04-22 |