| NPI | 1033448592 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1712) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-07-3707) | 
| Enumeration Date | 2009-12-12 | 
| Last Update Date | 2022-09-29 |