| NPI | 1972906238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001116) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV LBA0143) |
| 103K00000X Behavior Analyst (Licence: CA 1-14-10040) | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2023-05-08 |