| NPI | 1184862682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 138) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-09-5785) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2019-12-09 |