| NPI | 1003319187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-63069) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA F7263503) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2023-02-15 |