| NPI | 1548765886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-29919) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-17-29919) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-07-12 |