| NPI | 1790219038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-24875) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1553) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-08-08 |