| NPI | 1124558945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-29668) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-15-06530) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-12-14 |