| NPI | 1669948873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-53273) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 9292) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2026-02-04 |