| NPI | 1235596768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 1-15-21054) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-15-21054) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2020-02-26 |