| NPI | 1598203622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-60761) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-18-9180) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2022-08-25 |