| NPI | 1790286789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4171) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 38855) | |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2025-11-18 |