| NPI | 1801386446 |
|---|---|
| Former Name | SHASTA TYTECA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 110211632506) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2019-10-29 |