| NPI | 1114428836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-60920) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-17207) |
| 106S00000X Behavior Technician (Licence: CA BCAT-1260) | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2022-11-04 |