| NPI | 1295115897 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-18585) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1354) | 
| Enumeration Date | 2015-06-09 | 
| Last Update Date | 2025-04-09 |