| NPI | 1255988945 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-20-43668) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-15-05932) | 
| Enumeration Date | 2019-08-19 | 
| Last Update Date | 2023-04-11 |