| NPI | 1164039335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6699) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-24-71135) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2025-06-12 |