| NPI | 1104327204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-65304) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-21-12407) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2023-06-05 |