NPI | 1104327931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-53674) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-22111) |
Enumeration Date | 2018-02-27 |
Last Update Date | 2022-11-22 |