| NPI | 1528736287 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 7984)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-182693)  | 
| Enumeration Date | 2021-08-30 | 
| Last Update Date | 2025-02-20 |