| NPI | 1811465669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-57837) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 18-69082) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2023-03-03 |