| NPI | 1730545005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-722) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA E2704785) |
| 103K00000X Behavior Analyst (Licence: CA 1-19-35484) | |
| Enumeration Date | 2016-01-02 |
| Last Update Date | 2022-12-02 |