| NPI | 1649058280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-26-87793) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX BACB1005486) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2026-03-03 |