| NPI | 1083175798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-74794) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-20-11178) |
| 106S00000X Behavior Technician (Licence: CA RBT-17-41856) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-08-08 |