| NPI | 1386984961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-10332) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-12-5139) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2016-07-18 |