| NPI | 1376918730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 143) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-15-19642) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2023-05-09 |