| NPI | 1790413649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 142331782506) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2025-07-12 |