| NPI | 1811231574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001331) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-12-12606) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2025-01-22 |