| NPI | 1568913408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-35851) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-002042) |
| 103K00000X Behavior Analyst (Licence: TX 2941) | |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2026-04-22 |