| NPI | 1457859332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3994) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 5103) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2025-08-12 |