| NPI | 1487066932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-13-14672) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2129) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-05-24 |