| NPI | 1912301037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-16679) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 737) |
| 103K00000X Behavior Analyst (Licence: AZ BEH-000344) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-04-19 |