| NPI | 1164925749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-64983) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician (Licence: CA 16-24985) | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2023-06-21 |