| NPI | 1508372442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-39897) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA RBT-16-12176) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2022-01-24 |