| NPI | 1942799580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-54317) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-21-54317) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2026-04-13 |