| NPI | 1295470110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 12815045-2506) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1729) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2026-01-20 |