| NPI | 1023625001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-50960) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00011239) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-08-03 |