| NPI | 1912373606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-29266) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0156653) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2021-01-29 |