| NPI | 1063807881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-15-17977) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-15-17977) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-08-25 |