| NPI | 1245748417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-56899) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00002654) |
| 106S00000X Behavior Technician (Licence: CA RBT-16-24299) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2023-06-06 |