| NPI | 1609267608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-9970) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000498) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2024-01-16 |