| NPI | 1043713035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-54478) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-13251) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2021-11-04 |