| NPI | 1497371116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5264) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH007488) |
| 106S00000X Behavior Technician (Licence: TX RBT-17-35661) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2025-03-05 |