| NPI | 1730628637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-24913) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6698) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2024-03-05 |