| NPI | 1154569564 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 008-2660) | 
| Additional Taxonomies | 174400000X Specialist (Licence: TX 008-2660) | 
| Enumeration Date | 2009-01-23 | 
| Last Update Date | 2009-01-23 |