| NPI | 1356847503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-57133) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-17-8250) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2022-01-07 |