| NPI | 1992311724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1648) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003208) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2026-03-25 |