| NPI | 1215711494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-26-2837127) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-23-288354) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2026-08-31 |