| NPI | 1528567526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 00004654) |
| 106S00000X Behavior Technician (Licence: TX RBT-17-47041) | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2026-05-07 |