NPI | 1184151706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-29392) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-14618) |
Enumeration Date | 2017-05-13 |
Last Update Date | 2018-10-30 |