| NPI | 1538909569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 8122) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-212442) |
| 106S00000X Behavior Technician (Licence: TX RBT-22-5438-392030) | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-03-07 |