| NPI | 1770198731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-63110) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003030) |
| 103K00000X Behavior Analyst (Licence: TX 7970) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2026-07-22 |