| NPI | 1972361947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: TX 9317) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 9317) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2026-01-12 |