| NPI | 1295389401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-18-33338) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 5855) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2025-06-03 |