| NPI | 1013316017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-21381) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0146013) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2016-07-11 |