| NPI | 1053071019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-64766) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-28899) |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2023-03-21 |