| NPI | 1154677565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-16232) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-11-4117) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2018-05-03 |