| NPI | 1912631201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 14260284-2507) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-190304) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2025-11-24 |