| NPI | 1700416112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6577) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-23-68214) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2026-06-03 |