| NPI | 1275148884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-44361) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-20-44361) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2025-01-06 |