| NPI | 1770048712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 11833784) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-18-33784) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2024-05-31 |