| NPI | 1508256736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-17862) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-17862) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2023-03-14 |