| NPI | 1114319365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-17638) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 5821) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2025-06-04 |