| NPI | 1164981304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-49299) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-81424) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2021-09-02 |