| NPI | 1609378827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-32328) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-18-8652) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2018-10-22 |