| NPI | 1992204515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-75464) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA LBA001542) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2026-05-11 |