| NPI | 1144736646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-31179) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 15-04311) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-06-29 |