| NPI | 1629745351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-25-86286) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-167254) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2026-02-16 |