| NPI | 1598150369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-22851) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-14-6148) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-01-08 |