| NPI | 1164949723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX BHV-010367) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BA60790033) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2026-05-29 |