| NPI | 1104334739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-36933) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00002145) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2023-04-21 |