| NPI | 1457740540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-15530) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001798) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2019-12-17 |