| NPI | 1114598323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001129) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-21-51205) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2023-08-04 |