| NPI | 1073014171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-73223) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2024-05-29 |