| NPI | 1831632074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-17-28720) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-17-7974) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2022-10-25 |