| NPI | 1154736353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-16715) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-14-16715) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2019-08-13 |