| NPI | 1073029450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001041) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-18-33489) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2023-07-03 |