| NPI | 1710323654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-25-79776) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX BHV-010424) |
| Enumeration Date | 2013-05-19 |
| Last Update Date | 2026-07-02 |