| NPI | 1114504917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-69986) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-92768) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2023-12-06 |