| NPI | 1912653247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 3811) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst (Licence: UT 14187307-2506) | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2026-06-04 |