| NPI | 1518620194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-41676) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4430) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2024-05-01 |