| NPI | 1912466178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-49052) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-17-8262) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2022-08-10 |