| NPI | 1508170879 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 0517) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 7955) | 
| 103TS0200X Psychologist, School (Licence: AZ 3825686) | |
| Enumeration Date | 2010-07-29 | 
| Last Update Date | 2025-03-17 |