| NPI | 1952742561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 0-13-5398) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-14-9596) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2021-01-11 |