| NPI | 1962016873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-51394) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-105389) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2025-09-29 |