| NPI | 1568866432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401003392APP26) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-14-10066) |
| 103K00000X Behavior Analyst (Licence: TX 1591) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2026-07-14 |