| NPI | 1538545504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-36363) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 10006844) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2019-07-16 |