| NPI | 1033562566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-29236) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-16-7151) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2019-11-18 |