| 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 |