| NPI | 1427607506 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 12152347) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-18-67775) | 
| Enumeration Date | 2019-09-10 | 
| Last Update Date | 2024-07-12 |