| NPI | 1134602063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-55902) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-69362) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2024-01-02 |