| NPI | 1861802969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2190) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-13-14671) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2021-11-23 |