| NPI | 1780317164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-25-78802) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-24-15209) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-01-17 |