| NPI | 1891397246 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-24-78657) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-11-11 | 
| Last Update Date | 2025-01-06 |