| NPI | 1699667535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 152.002916) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 8733) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-08-30 |