| NPI | 1598543886 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-24-76176)  | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2023-09-18 | 
| Last Update Date | 2024-10-15 |