| NPI | 1568946739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-47242) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-18-8476) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2021-07-01 |