| NPI | 1215473517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-41754) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI BA-918) |
| 103K00000X Behavior Analyst (Licence: TX 9403) | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2025-12-05 |