| NPI | 1558701516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-13-13439) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1188) |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2026-04-14 |