| NPI | 1912463050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-50589) |
| Additional Taxonomies | 247200000X Technician, Other |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2022-07-12 |