NPI | 1194223438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-31383) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-15-02114) |
Enumeration Date | 2018-01-31 |
Last Update Date | 2021-10-25 |