| NPI | 1952700577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-16775) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-16775) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2022-10-11 |