| NPI | 1164925657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-34362) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-12440) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2019-03-29 |