| NPI | 1699092585 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-08-4278) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-08-4278) | 
| Enumeration Date | 2010-04-30 | 
| Last Update Date | 2021-11-15 |