| NPI | 1205266772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-13-14220) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2413) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2025-06-02 |