| NPI | 1336706076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-25-83759) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-87851) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2025-08-29 |