| NPI | 1992275580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 1-20-43879) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR 10209953) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2025-01-21 |