| NPI | 1457136541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-26-2833212) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN 23-286147) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2026-08-28 |