| NPI | 1770088411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-64616) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-17-8651) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-04-25 |