| NPI | 1669846234 |
|---|---|
| Former Name | CRYSTAL MICHELLE SHIMIZU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-15-18868) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2023-09-26 |