| NPI | 1871069880 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3596) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-64666) | 
| Enumeration Date | 2018-10-17 | 
| Last Update Date | 2022-09-08 |