| NPI | 1669016564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 2023-138) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 8896) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2026-01-04 |