| NPI | 1750855748 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-22-60893)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-48892)  | 
| Enumeration Date | 2019-01-14 | 
| Last Update Date | 2024-09-24 |