| NPI | 1790163392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-46845) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6743) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2024-03-22 |