| NPI | 1760865893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-22213) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-14-6072) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-12-02 |