| NPI | 1073001863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-16-13320) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-18-32100) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-10-11 |