| NPI | 1447913447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-15774) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: CA LEP3948) |
| Enumeration Date | 2021-10-16 |
| Last Update Date | 2021-11-02 |