| NPI | 1679984421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 640) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH001728) |
| 103K00000X Behavior Analyst (Licence: CA 1-18-31065) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2023-10-24 |