| NPI | 1184803199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-15-18461) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000610) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2023-03-22 |