| NPI | 1669771630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 01330035533) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-09-5782) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2025-04-14 |