| NPI | 1225622145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-58685) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 10946) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2022-03-22 |