| NPI | 1780292904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-49518) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4274) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2022-01-31 |