| NPI | 1104223577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6358) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-9427) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2024-11-06 |