| NPI | 1225244767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-17-26371) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-01-02 |