| NPI | 1003378472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-59736) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-83272) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2022-09-28 |