| NPI | 1669819801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-09-5204) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-05-15 |