| NPI | 1710708003 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX BACB757637)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-24-76585)  | 
| Enumeration Date | 2024-10-21 | 
| Last Update Date | 2024-10-21 |