| NPI | 1275093361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-37494) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0189161) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2019-10-01 |