| NPI | 1407238850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-52310) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6504) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2025-09-08 |