| NPI | 1710503479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2201) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX BACB304413) |
| 103K00000X Behavior Analyst (Licence: AL 2025-027) | |
| 103K00000X Behavior Analyst (Licence: MS 251025) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2025-06-26 |