NPI | 1245873785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-74764) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-75344) |
Enumeration Date | 2019-10-28 |
Last Update Date | 2024-09-12 |