| NPI | 1306305479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-53567) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 12153567) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-02-04 |