| NPI | 1174173686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5564) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 1315) |
| 247200000X Technician, Other | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2026-03-11 |