| NPI | 1093376683 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5148) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-20-43288) | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-06-24 | 
| Last Update Date | 2023-03-14 |