| NPI | 1922753250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 7637) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-24-76443) |
| 106S00000X Behavior Technician (Licence: TX RBT-22-203291) | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2026-07-23 |