| NPI | 1578149944 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6111) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-155837) | 
| Enumeration Date | 2021-03-24 | 
| Last Update Date | 2024-05-15 |