| NPI | 1629619648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-25-80998) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MN 0-21-12000) |
| 106S00000X Behavior Technician (Licence: MN RBT-19-100553) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2025-06-25 |