| NPI | 1447598255 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-11-8877)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2460)  | 
| Enumeration Date | 2013-01-29 | 
| Last Update Date | 2020-09-08 |