| NPI | 1619211141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-17-28035) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-12-5112) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2024-01-16 |