| NPI | 1184317513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-70528) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 19-100489) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2024-04-25 |