| NPI | 1023866035 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-25-83810) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2024-05-07 | 
| Last Update Date | 2025-09-02 |