| NPI | 1245731462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-71351) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 16-15400) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2024-03-08 |