NPI | 1174141766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-49676) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 19-98234) |
Enumeration Date | 2020-07-09 |
Last Update Date | 2024-03-08 |