| NPI | 1326536616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-52207) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-14-5912) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2021-09-10 |