| NPI | 1053948612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-25-81004) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI BA-1028) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2026-04-07 |