| NPI | 1861942815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-24313) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-16-7366) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2020-10-27 |