| NPI | 1306388178 |
|---|---|
| Former Name | ELIZABETH SANDOVAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-9529) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 12215360-2506) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2021-11-02 |