| NPI | 1386366011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 9623) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-235469) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2026-01-02 |