| NPI | 1922475334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-21796) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2016-04-06 |