| NPI | 1417543521 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3820)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-20-46188)  | 
| Enumeration Date | 2020-12-14 | 
| Last Update Date | 2025-10-06 |