| NPI | 1104326305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-33607) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-15-02833) |
| 106S00000X Behavior Technician (Licence: CA 00001169) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2025-02-20 |