| NPI | 1679043491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6916) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-21-56615) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2024-06-25 |