| NPI | 1124521786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-45207) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-20-10912) |
| 106S00000X Behavior Technician (Licence: CA 17-30935) | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2022-10-13 |